BRITTINY JACKSON
NPI 1194186239
Case Manager/Care Coordinator in Ypsilanti, MI

Q: What is Brittiny Jackson's NPI number?

The NPI number for Brittiny Jackson is 1194186239. It was assigned to this individual provider in the NPPES registry on March 17, 2016. The provider is also known as Brittiny Wideman.

Q: What is Brittiny Jackson's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Q: When was this NPI record last updated?

The NPPES record for Brittiny Jackson was last updated on May 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 17, 2016

555 TOWNER ST, YPSILANTI, MI 48198(734) 544-3050(734) 544-6732 Get Directions Write a Review

NPPES record last updated: May 20, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 20, 2025, Jan 2, 2024, Mar 17, 2016 (3 updates tracked since 2016).

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About Brittiny Jackson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRITTINY JACKSON (NPI 1194186239) is an individual case manager/care coordinator provider in Ypsilanti, Michigan and active in the NPI registry since March 2016.

NPPES Registry Identity

NPI1194186239

Entity TypeIndividualFemale

Primary Taxonomy171M00000X

Provider Legal NameBRITTINY JACKSON

Location Address555 TOWNER STYpsilanti, MI 48198-5723

Mailing Address555 Towner StYpsilanti, MI 48198-5723 · (734) 544-3050 · Fax (734) 544-6732

Phone(734) 544-3050

Fax(734) 544-6732

Sole ProprietorNo

Enumeration DateMarch 17, 2016

Last NPPES UpdateMay 20, 20253 updates tracked since enumeration

NPPES CertifiedMay 20, 2025

✔ NPI 1194186239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Also ListedSocial WorkerTaxonomy 104100000X

555 TOWNER ST, Ypsilanti, MI 48198

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Other Names 1

Former Name (1)Brittiny Wideman

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAURA ELLEN GULTEKIN PHD, FNP-BC

Nurse Practitioner (Family)